Senior Social Work Case Management Leader

Highmark Health; Helena (MT); Remote; USD 94,000 - 151,000; Full time

Job summary

Highmark Health is seeking a clinical operations leader to manage a team of licensed social workers delivering case management to a diverse member panel. You will oversee quality, engagement, and outcomes while driving enterprise initiatives and regulatory compliance.

Responsibilities include staffing, performance management, and cross-functional collaboration to achieve clinical and financial targets. Strong leadership, analytics, and digital engagement skills are essential.

Qualifications

• Minimum: Master’s Degree in Social Work or related field.
• Minimum: 5 years of health-related clinical work experience.
• Management experience: 3 years in leadership or project roles.

Responsibilities

• Lead and supervise licensed clinical professionals delivering social work case management.
• Ensure clinical quality, member outcomes, and regulatory compliance.
• Oversee staffing, scheduling and performance to meet targets.
• Collaborate across departments to drive enterprise initiatives.

Skills

Written and verbal presentation skills

Clinical platforms and workflow tools

AI-enabled tools adoption

Automation and process improvement

Healthcare cost drivers understanding

Proficient with Microsoft Office

Leading remote/geographically spread/虚

Education

Master's Degree - Social Work or Social Welfare

MS in Social Work

Tools

Microsoft Office

Clinical platforms

Reporting tools

Job description

Highmark Health is seeking a clinical operations leader to manage a team of licensed social workers delivering case management to a diverse member panel. You will oversee quality, engagement, and outcomes while driving enterprise initiatives and regulatory compliance.

Responsibilities include staffing, performance management, and cross-functional collaboration to achieve clinical and financial targets. Strong leadership, analytics, and digital engagement skills are essential.